18 results for “diagnostic laparoscopy”
67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …
…nia and reflux on 21 September 2010. He developed severe right-sided abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings and missed ischaemic bowel—a critical diagnostic error. The expert…
53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…
…e for 25+ hours. The CT scan at 9:00 AM failed to identify the occluded SMA. The patient underwent a non-diagnostic laparoscopy at 6:00 PM. Diagnosis was made at a radiology meeting at 8:30 AM on 20 August—36 hours after…
48y · Female·Pneumonia on a background of subacute bowel obstruction secondary to metastatic …
…ns during her November 2022 presentation. The Coroners Prevention Unit reviewed care and found no missed diagnostic opportunities—the borderline anaemia and mild iron deficiency were not typical for iron deficiency anaem…
68y · Female·Multi-organ failure associated with septic shock following duodenal perforation …
Athenia Hana Walden, 68, died from multi-organ failure and septic shock following duodenal perforation during laparoscopic surgery at Swan District Hospital on 8 May 2008. Surgery was performed to remove her gallbladder,…
59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…
A 59-year-old woman died from sepsis due to faecal peritonitis following a bowel perforation during laparoscopic oophorectomy for a benign ovarian cyst. The perforation was repaired during the initial surgery, but the re…
49y · Male·Complications in Association with Advanced Gastric Malignancy
Roy Charles Gilbert, a 49-year-old prisoner serving an indefinite sentence, was diagnosed with advanced gastric adenocarcinoma in August 2013 after presenting with symptoms of constipation, weight loss, and vomiting. Gas…
72y · Male·Complications of a gastroduodenal perforation (palliated) in the setting of mult…
…e fluid and pneumoperitoneum. After discussion with family, a palliative approach was chosen rather than diagnostic laparoscopy or surgery, as these were deemed unlikely to improve quality of life. William was managed wi…
40y · Male·Aspiration pneumonia
Alexander Cameron, a 40-year-old man with complex neurodevelopmental, neurological and psychiatric disorders including epilepsy, autism, and previous neuroleptic malignant syndrome (NMS), died from aspiration pneumonia f…
74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…
Mrs Russell, a 74-year-old woman with diabetes, obesity, COPD and coronary disease, underwent elective hernia repair in November 2016 at a regional hospital. An unexpected colon tumour was removed during surgery. She sub…
68y · Male·pulmonary thromboembolism in the setting of recent surgery
…olism is rare in this surgery type and presented with minimal specific clinical clues. Key learning: the diagnostic challenge of undifferentiated post-operative deterioration; importance of documentation; and family esca…
13y · Male·Peritonitis secondary to ruptured gangrenous acute appendicitis
Luca Raso, a healthy 13-year-old boy, died from peritonitis secondary to ruptured gangrenous acute appendicitis after being misdiagnosed with viral gastroenteritis by his GP on two consultations (22 and 24 February 2017)…
45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…
Elsa Harrington, a 45-year-old woman, died from acute liver failure secondary to paracetamol toxicity in November 2002. She was admitted post-hysterectomy with bowel obstruction and underwent adhesion surgery. Following …
56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy
Barry Brown, a 56-year-old man, died from internal bleeding after laparoscopic cholecystectomy due to critical systemic failures in post-operative care and diagnosis. Following hypotension at 7:30pm, nursing staff failed…
47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis
…ded thromboprophylaxis, but surgical staff considered him low-risk based on the minimal invasiveness of laparoscopy. He developed progressive oxygen desaturations (80-90%) on 1 September requiring supplemental oxygen, w…
54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…
Anthony Barrett died from bowel ischaemia caused by acute thrombosis of his superior mesenteric artery and coeliac artery stents post-operatively. He had undergone left total knee replacement surgery at Fairfield Hospita…
43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…
…o overwhelming sepsis. The coroner emphasised maintaining high index of suspicion for bowel injury post-laparoscopy, particularly in high-risk patients, and noted that post-operative pain should be assumed bowel damage …
64y · Male·necrotising fasciitis precipitated by a fishbone perforating his rectum, leading…
James Tranby, a 64-year-old Indigenous diabetic prisoner, presented with a fish bone lodged in his rectum on 3 December 2008. Following removal on 5 December, he developed progressive sepsis leading to necrotising fascii…
4y · Female·hypoxic-ischaemic encephalopathy attributed to intrapartum asphyxia secondary to…
Aurora Sleep died from hypoxic-ischaemic encephalopathy caused by uterine rupture during labour induction with prostaglandin gel. Her mother had a perforated uterus from a D&C procedure 9 months earlier. The coroner foun…
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